National Provider Identifier
Bradley Kevin Peck, M.D.
Bradley Kevin Peck, M.D. is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Canandaigua, NY and a listed phone number of (585) 394-1960.
Profile Overview
- NPI
- 1821039140
- Provider Type
- Individual
- Primary Specialty
- Orthopaedic Surgery Physician
- Enumeration Date
- June 09, 2006
- Last Updated
- October 30, 2018
Practice Location
- 229 Parrish St
- Suite 100
- Canandaigua, NY 14424-1791
Phone: (585) 394-1960
Mailing Address
- 4970 Wyffels RD
- Canandaigua, NY 14424-8364
Specialties
- Orthopaedic Surgery Physician (207X00000X)
Full Record
- NPI
- 1821039140
- Entity Type
- Individual
- Last Name
- Peck
- First Name
- Bradley
- Middle Name
- Kevin
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 4970 Wyffels RD
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8364
- Mailing Country
- US
- Practice Street Address
- 229 Parrish St
- Practice Address Line 2
- Suite 100
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1791
- Practice Country
- US
- Practice Phone
- (585) 394-1960
- Practice Fax
- (585) 393-9232
- Enumeration Date
- June 09, 2006
- Last Updated
- October 30, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopaedic Surgery Physician (207X00000X)